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Individual

CHRISTINA E ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
728 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 903-6200
(610) 429-1057
Mailing address
728 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 903-6200
(610) 429-1057

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD035003E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011279710007
PA
01
0091952000
INDEPENDENCE BC
01
1301335
CIGNA
01
199073
HIGHMARK BCBS
05
30022409
PA
01
3836033
AETNA HMO
01
927827 06
UNITED HEALTHCARE
Enumeration date
06/15/2006
Last updated
08/07/2014
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